Polytrauma Clinical Trial
Official title:
Comparing Trauma Severity Scores Injury Severity Score "ISS", Rapid Emergency Medicine Score "REMS" and Kampala Trauma Score "KTS" in Polytrauma Patients for Survival Prediction and ICU Admission in Assiut and Suez Canal University Hospitals.
Verified date | September 2022 |
Source | Assiut University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
Trauma is defined as a physical injury from an external source of sudden onset and severity, which require immediate medical attention.Despite improvements in trauma systems worldwide, trauma continues to be one of the leading causes of death and disability in all age groups, especially the young and middle age group. For studying the outcomes of trauma, accurate and reliable methodological tools are required for appropriate scoring of severity and outcome prediction . Trauma scores were designed to facilitate the triage of patients in the ER (emergency room), and identify patients with Polytrauma with low chances of survival. Those scores were meant to organize and improve the quality of trauma care systems, and to assess resources allocation.3 12 In 1969, Researchers developed the Abbreviated Injury Scale (AIS) to grade the severity of individual injuries. Attempting to summarize injury severity in patients with multiple traumas with a single number is almost difficult; therefore, multiple alternative scoring systems were proposed afterwards, each with its own problems and limitations. More than 50 scoring systems have been published for the classification of trauma patients in the field, emergency room, and intensive care settings. There are three main groups of trauma scores: (a) Anatomical, (b) Physiological, (c) Combined scores. Anatomical scores describe all the injuries recorded by clinical examination, imaging, surgery or autopsy and measure lesion severity. Physiological scores describe changes happened due to the trauma, and translated by changes in vital signs and consciousness. Scores that include both anatomical and physiological criteria (mixed scores) are more useful for patient prognosis
Status | Not yet recruiting |
Enrollment | 250 |
Est. completion date | October 1, 2025 |
Est. primary completion date | March 1, 2025 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 80 Years |
Eligibility | Inclusion Criteria: - traumatic patients with multiple trauma - Both genders "without intently selected certain gender" and had 18 years old or more. Exclusion Criteria: - Patients who are less than 18 years old. - Patients with end stage chronic disease . - Patients with localized individual trauma will be excluded from this study. - Patients refusing study . |
Country | Name | City | State |
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n/a |
Lead Sponsor | Collaborator |
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Assiut University |
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* Note: There are 18 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Mortality | Mortality "death" during the 30 day follow-up | 30 days | |
Secondary | Hospital admission | Admission to hospital from the Emergency Department | Day 0 | |
Secondary | Intensive Care Unit admission | Admission to the Intensive Care Unit or High Dependency Unit from the Emergency Department | Day 0 | |
Secondary | Readmission in the Emergency Department | Re-visits to the Emergency Department after the index-visit. | Hour 72, Day 30 |
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